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I just turned 50, I'm 5'10, 135lbs. I had...

I just turned 50, I'm 5'10, 135lbs.

I had implants about 24 years ago to address tiny uneven breasts. I went from an A cup to a C with under muscle teardrop shaped silicone. I can't remember what size they were.

I've been happy with them and they have never caused me any problems.

However, age has caught up with them. They have sagged, the skin is lax, the fullness has disappeared, and the unevenness is again much more noticeable (oddly, on some days much more than others) as they sagged at different rates.

I'm not interested in increasing the size of them, I'm interested in improving the shape. Obviously I will need to go bigger to get a shape improvement, but the size is not my focus. So my wish is to increase the size only as much as needed to improve the shape. The beautiful result that 54anditstime here has posted would be perfect.

I'm seeing Dr Nond in Bangkok for a facelift (see separate review for that), and *maybe* for an implant revision.

I sent him photos and asked if he could do anything WITHOUT a lift. I'm not willing to wear the scars for a lift: The improvement would not be worth it for me.

Dr Nond was very honest with me and said he didn't think he could help without a lift, but we ended up agreeing that he would do a proper assessment at my facelift consultation on the 31st August and we would decide then.

IF we go ahead (and I really hope we can), the surgery will be on the 8th and NOT at the same time as my facelift: he says that doing both at once is too much time under general and it isn't worth the risk. I know that other surgeons will do multiple surgeries at once, but he limits surgery time to a max of 8 hours (so long!) and doing both would go over that. I'm trusting his judgement in this. Having said that, having a facelift and being in the traumatic process of healing from that and then going in for breast surgery a week after scares the bejeesus out of me.

Another before

This is how I normally see my breasts: not great, but also not horrifying like the really uneven shots.

How they look varies by day and by time of day. The breasts in this photo look like they would be much easier to 'fix' than the ones in the other shots.

Going ahead... yeep!

So I had my facelift yesterday (separate review here: http://www.realself.com/review/bangkok-thailand-facelift-50yo-starting-hate-lady-mirror), and had a consultation about a breast implant revision with Dr Nond at my facelift consultation.

We've decided to go ahead, not least because I have some (moderate) capsular contraction on the right, and the implants are some 25 years old and who knows what shape they are in.

My goal is not 'big', it's 'better shape', and Dr Nond recommended a lift for that, but I'm not willing to have those scars, so we talked about whether I would see a good result without a lift. To my mind, filling out the upper pole an adding some volume would give some lift because physics. They would still be uneven, but I can live with that.

I sent him before & afters of 54anditstime (user on this site) whose starting point is somewhat similar to mine (without the unevenness) as my wish list. He said her breasts were sitting higher and my skin was looser, so it was a bit of wishful thinking :(.

Still, he thought I would get some improvement with just an implant replacement, though obviously not as much as with a lift. He suggested a long teardrop implant to get a nice slope down to the nipple. I'm 5'10 and my breasts are sitting rather low with all the volume at the bottom. My chest can accept up to 495 cc, but he thinks that 340-380 cc size would be more than enough. I'm not quite sure how big that is, but he's clear that I don't want to go up in size 'just because'.

This is a recent picture of me, leaning forward a bit, with arms at right angles to my body: the position gives the illusion of upper pole volume and lift. I'd be pretty damn happy if I could get this result.

Provider Review

Dr Nond